HomeMy WebLinkAbout02000990495000_Variances_05-05-1976Variances
Barcode 128
White - Office
Yellow — Owner
Pink — Township
APPLICATION FOR VARIANCE
FROM
Requirements of Shoreland Management Ordinances Otter Tail County, Minnesota
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Phone No.Owner
Last Name First iddle
/y V. A{[ i sC)
City ' StateStreet & No.Zip No.
cy^ryot' ILegal Description; Lake No.Lake Name Lake Class
A22QJZ.Rer.V£>Twp.Range Twp. Nama
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AJO)^ GrL # V qL'hi ro®-
If applicant is a cor^ation, what state incorporated in
Applicant is: (c-i^wner ( ) Lessee ( ) Occupant ( ) Agent
List Partner's name and address below:Is Applicant a partnership
yes or no
NAME, ADDRESS AND ZIP NO.NAME, ADDRESS AND ZIP NO,
This application for deviation is from Shoreland Management Ordinance, Otter Tail County, Minnesota for conditonsfound in
what Section of the Ordinance:_____
EXPLAIN YOUR PROBLEM HERE:
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In order to properly evaluate the situation, please provide as much supplementary information as possible, such as: maps,
plans, information about surrounding property, etc.
/y19_2^ .X LApplication dated.
Signature of Applicant
—DO NOT USE SPACE BELOW—
Date application filed with Shoreland Management Administratioa 19
BothDeviation requires; Planning Commmission approval ( ) Shoreland Management approval only ( )
Filing acknowledgement By
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19____________________________WITH THE FOLLOWING
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—, 19-^ Initials VT)/^
LOlUUyvXa. rv Signature--------Q---------------------------------------------------------------------^
CA-MJ XJt_Ay-A/A a Chairman
\J ^'■'’'’*'’8 ^**''l*ory Commitiion
Date, time and place of hearing
DEVIATION APPROVED this______
(OR A TTACHED) REQUIREMENTS:
day of
RcJECTED By
Dated:
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Deviation
Approved this day of.19.. By.Malcolm K. Lee, Shoreland Management Administrator
Otter Tail County, MinnesotaMKL-0871-016
171988-A®
VICTOR LUNOCIM 00.. ROIMTCRI. TCOOUI HINH.
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GRID PLOT PLAN SKETCHING FORM i.feet/inches.Sca/e: Each grid equals
.19.Application for Building Permit Dated_____
Application for Sewage System Permit Dated
Building Permit Number_________________
Applicant agrees that this plot plan is a part of application (s) indicated above.
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.19
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1 Sewage System Permit Number.
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150104 ®VICTOR LlftMICM • CO.. RRIItTeRO. FIROufl FM.k*. MlMI.MKL-0871-029
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